That doesn't necessarily mean the first medication "failed." People respond differently to GLP-1 drugs, and some tolerate or respond to one medication better than another
Company announcement, 24 November 2025
A December 2024 poll ( n = 2161) found that 22% of UK adults would use a GLP-1 weight-loss drug if it were available on prescription through the NHS [19], although many of these may not be eligible according to NICE guidelines

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Effectiveness of one-time endoscopic screening programme in prevention of upper gastrointestinal cancer in China: a multicentre population-based cohort study
The mixed customer reviews, particularly the high percentage of one-star ratings on Trustpilot, suggest operational issues that prospective users should weigh carefully